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Cited by 132Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentDevelopmental and Educational Neuropsychology

Differences between preschool children with ODD, ADHD, and ODD+ADHD symptoms

Gadow, Kenneth D., Nolan, Edith E.·2002·Journal of Child Psychology and Psychiatry
DOI 10.1111/1469-7610.00012
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Abstract

Background: This study examines differences between children (ages 3 to 6 years) who have the symptoms of oppositional defiant disorder (ODD) with or without attention‐deficit/hyperactivity disorder (ADHD), ADHD alone, and a nonODD/ADHD comparison group. Parent ( N =595) and teacher ( N =538) ratings were obtained for children attending the same community early childhood programs and for youngsters evaluated in an outpatient clinic ( N =224) using a DSM‐IV‐referenced rating scale. Results: Differences between symptom groups varied depending on how they were configured (teacher versus parent ratings) and setting (clinic versus community). In general, the ODD+ADHD group received the highest (and the comparison group the lowest) ratings of severity for the symptoms of other disorders, difficulties with peers, and developmental deficits. Moreover, the clinical impact of comorbidity was largely additive. Differences between youngsters with ODD versus ADHD symptoms were most apparent for teacher‐defined groups in the community sample and parent‐defined groups in the clinic sample. Conclusions: Collectively, these findings provide preliminary evidence for the notion that ODD and ADHD may constitute distinct clinical entities in preschool‐aged children and suggest that informant may be an important consideration in the formulation of diagnostic criteria.

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  • The ADHD+ODD group is a clinically significant subgroup of the population by virtue of its elevated risk for negative outcomes.

    “Children with both ADHD and ODD had the greatest level of risk taking, further supporting that this group of children is a clinically significant subgroup of the population by virtue of its elevated risk for negative outcomes (Gadow and Nolan 2002; Kuhne et al. 1997).”

    From Risk taking and sensitivity to punishment in children with ADHD, ODD, ADHD+ODD, and controls (2011) · cites this paper as Gadow and Nolan 2002

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Authors
Gadow, K. D., & Nolan, E. E.
Affiliations
State University of New York (US)
Corresponding author
Gadow, Kenneth D.
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
2002-02
Volume
43
Issue
2
Pages
191-201
ISSN
  • 0021-9630 (ISSN-L)
  • 1469-7610
DOI
10.1111/1469-7610.00012
OpenAlex
W2164206122
Cited by
132
References
47
Citations by year
2025: 3 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 8 · 2015: 4 · 2014: 6 · 2013: 10 · 2012: 8
FWCI
3.84
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 39 d)
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
Keywords
oppositional defiant disorder, attention deficit hyperactivity disorder, comorbidities, preschool children, symptom severity, peer problems, developmental deficits, parent ratings, teacher ratings, informant differences, diagnostic criteria, early childhood programs
MeSH terms
Age Factors, Attention Deficit Disorder with Hyperactivity, Child, Preschool, Diagnosis, Differential, Female, Humans, Male, Personality Assessment, Psychiatric Status Rating Scales, Comorbidity, Attention Deficit and Disruptive Behavior Disorders

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